Individual provider Active NPI

Nicole Davis, LPC., PSY.D

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1619217924
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38641 Issued in TX
Practice address
4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone
(214) 918-1999
NPI assigned
Feb 22, 2013
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64215 TX
Clinical Psychologist 103TC0700X 38641 TX Primary

Addresses

Primary practice location

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084

Mailing address

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Other practice location 1

10502 Markison Rd # 550877
Dallas, TX 75238-1652
Phone (832) 489-3749

Other practice location 2

12250 Abrams Rd Apt 2225
Dallas, TX 75243-1661
Phone (832) 489-3749

Other practice location 3

13283 State Highway 155 N
Ore City, TX 75683
Phone (832) 489-3749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211000905 TX Practitioner - Clinical Psychologist 8527473297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brittain and Associates IncGroup PAC ID 2668455221, 16 clinicians
Carewright Clinical Services, PLLCGroup PAC ID 7315119518, 33 clinicians

Practice addresses (Care Compare)

213 US Hwy 259 N
PO Box 398
Ore City, TX 75683-2106
Phone (903) 968-4641

4925 Greenville Ave
Suite 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64215TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brittain & Associates Inc Clinical CurrentSince Feb 2, 2021 Accepting new patients
Carewright Clinical Services, PLLC CurrentSince Jan 16, 2021 Accepting new patients

Locations

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

213 US Highway 259 N
Ore City, TX 75683
Phone (903) 968-4641

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1619217924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064084",
            "telephone_number": "214-918-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064084",
            "telephone_number": "214-918-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10502 Markison Rd # 550877",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752381652",
            "country_code": "US",
            "telephone_number": "832-489-3749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12250 Abrams Rd Apt 2225",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431661",
            "country_code": "US",
            "telephone_number": "832-489-3749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13283 State Highway 155 N",
            "address_purpose": "LOCATION",
            "city": "Ore City",
            "state": "TX",
            "postal_code": "75683",
            "country_code": "US",
            "telephone_number": "832-489-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "LPC., PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64215",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.